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1750787164
LA'SHON THEDFORD
MOUNT CLEMENS, MI
NPI
1750787164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: MI 4703104399)
Enumeration Date
2014-11-12
Last Update Date
2014-11-13
Business Address
-- LA'SHON THEDFORD LPN
62 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS, MI 48043-2310
Phone number: 586-468-8983
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Mailing Address
-- LA'SHON THEDFORD LPN
62 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS, MI 48043-2310
Phone number:
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